NPI | 1659851657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15822) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3017) |
106H00000X Marriage & Family Therapist (Licence: NY 001250) | |
Enumeration Date | 2018-08-19 |
Last Update Date | 2025-09-16 |